Psychological EMS a Plausible, (developmental immaturity, normal dependence on adult caregivers who might be injured or dead), or be reunited with families Less effective coping skill of Child psychiatry children who suffer injury involvement, cognitive or witness parental, therapy, research for sibling death preventing pediatric (psychological posttraumatic stress immaturity) disorder a Greater anxiety over Pediatric counseling of reported incidents, parents and children a hoaxes, media coverage, etc Less capacity to cope with Community and regional influx of critical pediatric planning with significant patients, loss of routine pediatric input hospital transfer protocols, limited ability to expand pediatric hospital bed capacity through NDMS, inappropriately sized equipment for young children but unproven or unstudied, and/or not intuitively obvious EMS, emergency medical services; NDMS, national disaster medical system Adapted from Henretig FM, Cieslak TJ, Eitzen EM Jr Biological and chemical terrorism J Pediatr 2002;141:311–326 Copyright © 2002 Elsevier With permission